• 제목/요약/키워드: Long standing

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The Versatility of Cervical Vertebral Segmentation in Detection of Positional Changes in Patient with Long Standing Congenital Torticollis

  • Hussein, Mohammed Ahmed;Kim, Yong Oock
    • Journal of International Society for Simulation Surgery
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    • 제3권1호
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    • pp.28-32
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    • 2016
  • Background Congenital muscular torticollis (CMT) is a benign condition. With early diagnosis and appropriate management, it can be cured completely, leaving no residual deformity. However, long-standing, untreated CMT can lead to permanent craniofacial deformities and asymmetry.Methods Nineteen patients presented to the author with congenital muscular torticollis. Three dimensional computed tomography (3-D CT) scans was obtained upon patient’s admission. Adjustment of skull’s position to Frankfort horizontal plan was done. Cervical vertebral segmentation was done which allowed a 3D module to be separately created for each vertebra to detect any anatomical or positional changes.Results The segmented vertebrae showed an apparent anatomical changes, which were most noticeable at the level of the atlas and axis vertebrae. These changes decreased gradually till reaching the seventh cervical vertebra, which appeared to be normal in all patients. The changes in the atlas vertebra were mostly due to its intimate relation with the skull base, while the changes of the axis were the most significantConclusion Cervical vertebral segmentation is a reliable tool for isolation and studying cervical vertebral pathological changes of each vertebra separately. The accuracy of the procedures in addition to the availability of many software that can be used for segmentation will allow many surgeons to use segmentation of the vertebrae for diagnosis and even for preoperative simulation planning.

2018 심방세동 카테터 절제술 대한민국 진료지침: Part II

  • 유희태;정동섭;박희남;박형섭;김주연;김준;이정명;김기훈;윤남식;노승영;오용석;조영진;심재민
    • International Journal of Arrhythmia
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    • 제19권3호
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    • pp.235-284
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    • 2018
  • In this part the writing group will cover strategies, techniques, and endpoints of atrial fibrillation (AF) ablation. Prior to all, electrical isolation of the pulmonary veins is recommended during all AF ablation procedures. In addition, techniques to be used for ablation of persistent and long-standing persistent AF, adjunctive ablation strategies, nonablative strategies to improve outcomes of AF ablation, and endpoints for ablation of paroxysmal, persistent, and long-standing persistent AF will be reviewed. Currently many technologies and tools are employed for AF ablation procedures. Radiofrequency energy, cryoablation, and other energy sources and tools are in various stages of development and/or clinical investigation. Finally, anticoagulation strategies pre-, during, and postcatheter ablation of AF and technical aspects of ablation to maximize safety are discussed in this section.

Free-Standing $Br{\aa}nrmark$ Osseointegrated Implants와 Two-part I.T.I. Dental Implants(Benefit)를 이용한 하악 양측 대구치 결손 수복에 관한 임상적 연구(I) (FIXED/REMOVABLE RECONSTRUCTION IN PARTIALLY EDENTULOUS PATIENT USING $Br{\aa}nrmark$ OSSEOINTEGRATED IMPLANTS AND TWO-PART I.T.I. IMPLANTS(BONEFIT) AS ABUTMENTS)

  • 양재호
    • 대한치과보철학회지
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    • 제31권1호
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    • pp.151-162
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    • 1993
  • The author installed $3.75mm\times10mm$ $Br{\aa}nrmark$ osseointegrated implants and $3.5mm\times8mm$ I.T.I. hollow screw implants(Benefit) as a free standing abutment to replace lower left and right molars of 44-year-old female patient. Form the foregoing procedure, the author obtained the following results. 1. Free-standing $Br{\aa}nrmark$ and I.T.I. Hollow screw implants(Benefit) could be used to replace molars effectively without reduction of adjacent natural teeth, 2. Rotation of occlusal gold screw of $Br{\aa}nrmark$ implants was observed under occlusal force. 3. Adjustment of height of I.T.I. abutments was necessary in the mandibular second molar because of the limited occlusal clearance. 4. Form the oral examination, patient comments, panoramic and periapical radiographs, there were no pain, gingival imflammation and mobility, but slight reduction of alveolar bone level was shown around both implant systems. 5. Patient comments were comfortable on both systems. but the patient complained about economic problem of $Br{\aa}nrmark$ system and long treatment treatment time of both systems.

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The Three-year Effect of Thinning Intensity on Biomass in Larix kaempferi and Pinus koraiensis Plantation

  • Chhorn, Vireak;Seo, Yeongwan;Lee, Daesung;Choi, Jungkee
    • Journal of Forest and Environmental Science
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    • 제36권1호
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    • pp.17-24
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    • 2020
  • This study aimed to figure out and compare the increment of biomass by thinning intensity focused on the plantation of the two major coniferous species (Larix kaempferi and Pinus koraiensis) of South Korea. The inventory interval was three years under the effects of three types of thinning treatments; control (no thinning), light (20% thinning) and heavy (40% thinning). The results showed standing biomass increment of both species decreased as thinning intensity increased (heavylight>control). Meanwhile, the lowest of on-site biomass changes occurred in the control plot, and the greatest was in the heavy thinning plot because thinning was involved with leaving the felling residual biomass (leaves, branches and roots) on the site. According to the results from this short-term study, unthinned stands is preferable for maximizing standing biomass as well as carbon sequestration. However long-term investigation should be considered in order to see more clear results.

정재파 열음향 냉각기의 스택 온도구배에 대한 연구 (A Study on the Stack Temperature Profile of a Standing Wave Thermoacoustic Cooler)

  • 백인수
    • 한국음향학회지
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    • 제28권1호
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    • pp.19-24
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    • 2009
  • 정재파 열음향 냉각기의 스텍에서의 온도 구배와 냉각기 효율의 관계에 대한 연구를 수행하였다. 스택에서의 로트식 (Rott Equation) 을 이용하여, 스택을 통과하는 엔탈피 플럭스의 크기가 크게 되면, 스택에서의 온도구배가 비선형의 특성을 나타내는 것을 밝혀내었다. 또한 이런 비선형의 스택 온도구배가 열음향 냉각기의 냉각 효율을 저하시키는 것을 확인하였다. 1/4 파장의 정재파 열음향 냉각기를 이용한 시뮬레이션을 통해, 특정길이의 스택에 대해 냉각 용량이 커질수록, 또한 특정냉각 용량에 대해, 스택의 길이가 길어질수록 비선형의 스택 온도구배가 크게 일어남을 알아낼 수 있었다.

Analysis of Postural Stability During Continuous External Perturbations

  • Shin, Youngkyun;Park, Gu-Bum
    • 조명전기설비학회논문지
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    • 제27권8호
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    • pp.21-29
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    • 2013
  • The functional behaviors of human standing postural control were investigated when they were exposed to long-term horizontal vibration in the sagittal plane. For complexity of human postural control, a useful alternative method that has been based on a black-box approach was taken; that is, where the feedback mechanism was lumped into a single element. A motor-driven support platform was designed as a source of vibration. The AC Servo-controlled motors produced continuous anterior/posterior (AP) motion. The data were analyzed both in the time and frequency domain. The cross-correlation and coherency functions were estimated. Subjects behaved as a non-rigid pendulum with a mass and a spring throughout the whole period of the platform motion, as consistent with the plan chosen for this study.

Double speaker 1/2파장 열음향 냉동기의 성능 평가 (The Performance Investigation of Double-speaker-1/2 Wavelength Thermoacoustic Refrigerator)

  • 송규조;박종호;이성노
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2002년도 학술대회지
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    • pp.647-650
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    • 2002
  • A thermoacoustic refrigerator, using a resonant standing acoustic wave, has been built. It employs a loudspeaker to sustain a standing wave in a resonance tube. The stack of plates is 0.075mm-thick plastic sheet(Mylar), spirally wound to make a 40mm-diameter assembly 80mm long. and two heat exchanger are installed. The refrigerant is Helium gas. The description of thermoacoustic refrigerator are presented. The directly measured performance of the resonator. Tc/Th ( temperature ratio ) and $COP/COP_{c}$, (normalized by carnot's COP ) are plotted versus the thermal load Q applied to the cold end, for various speaker power.

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Primary Radiation Force to Ultrasound Contrast Agents in Propagating and Standing Acoustic Field

  • Seo, Jong-Bum
    • The Journal of the Acoustical Society of Korea
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    • 제28권1E호
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    • pp.1-8
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    • 2009
  • Primary radiation force on ultrasound contrast agents (UCA) in a propagating and standing acoustic field was explored. A specific ultrasound contrast agent $Albunex^{(R)}$ and $Optison^{(R)}$ were chosen for simulation. The model was developed based on a shelled bubble model proposed by Church. The numerical simulation suggests that bubble translational motion is more significant in therapeutic ultrasound due to higher intensity and long pulse duration. Even a single cycle of a propagating wave of 4 MPa at 1 MHz can cause a bubble translational motion of greater than $1{\mu}m$ which is approximately one tenth of capillary. Hence, UCA characteristics can be significantly changed in therapeutic ultrasound without rapid bubble collapses.

ISO Type 차음시험실의 음장튜닝 사례 (The Tuning of Reverberation Time in ISO Type Reverberation Room)

  • 김경호;한희갑
    • 한국소음진동공학회:학술대회논문집
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    • 한국소음진동공학회 2006년도 춘계학술대회논문집
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    • pp.1198-1201
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    • 2006
  • ISO 140-1 recommends installing diffusing elements in the room if there are large variations of the sound pressure level caused by strong standing wave. Also it requires that reverberation time should not be long or short. In accordance to this regulation, we adjusted the reverberation time in the range of $1{\sim}2$ sec by using 4 types of diffusing elements. This paper demonstrates how to balance the reverberation time in the range of $1{\sim}2$ sec by using several types of diffusing elements.

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파킨슨 환자의 활동 개선을 위한 PNF 개념을 이용한 물리치료 사례보고 (Case Report of Physical Therapy using Proprioceptive Neuromuscular Facilitation for Activity Improvement in a Patient with Parkinson's Disease)

  • 신재욱;김좌준
    • PNF and Movement
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    • 제14권3호
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    • pp.219-229
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    • 2016
  • Purpose: Patients with Parkinson's disease suffer many restrictions in daily life. This case report investigated how intervention with proprioceptive neuromuscular facilitation (PNF)-based physical therapy can affect the activities of Parkinson's patients. Methods: The subject was a 67-year-old female patient diagnosed with Parkinson's disease 3 years ago. Since the last five months, overall activities have become difficult for her, and she finally visited a hospital to take outpatient physical therapy because of the gait difficulties she suffered. The patient's medical history, system review, body structure and function, and activities were evaluated. The patient had difficulties in activities such as lying down, sitting, standing, maintaining a standing position, and walking. The PNF-based intervention was used for treating the impairments and improving the activities. The intervention was performed for 30 min a day, three times a week, for eight weeks. The qualifier of the international classification of functioning, disability, and health was used to measure the result, and the measurement was conducted before and after the intervention for eight weeks. Results: According to the result, the scores for maintaining a standing position, moving around within the home, and going to the toilet improved to "no problem" from "moderate problem." The scores for shifting the body's center of gravity, walking short distances, and washing oneself improved from "moderate problem" to "mild problem." The scores for sitting and standing improved to "no problem" and "mild problem" from "complete problem." The scores for preparing meals and doing housework improved from "severe problems" to "mild problem" or "moderate problem." The scores for walking long distances, moving around outside the home and other buildings, and using transportation did not show significant changes. Conclusion: Intervention with PNF-based physical therapy improved the activity of patients with Parkinson's disease, thus proving its effectiveness. The case report suggested that a therapist can use PNF as a physical therapy intervention for patients with Parkinson's who suffered restrictions in daily activities.